Jacob Zanger, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2014011103 Issued in MO

Practice address

17300 N Outer 40 Rd Ste 202
Chesterfield, MO 63005-1364

Phone

(217) 430-1530

Fax

(636) 728-1793

NPI assigned

Dec 18, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1952722902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 CANNONBALL RD",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623057640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 N OUTER 40 RD STE 202",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051364",
            "telephone_number": "217-430-1530",
            "fax_number": "636-728-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANGER",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-18",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020454",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2014011103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Yungbluth, PT
• Z & Z Coporation
• Roger Kirk Zacher, DDS
• Sajid M Zafar, M.D.
• Elizabeth Zang
• Brittany Zeller, MSN, AGACNP-BC, RN,
• Janet Zeller, P.T.
• Bien Zhang, M.D.
• He Zhu, M.D.
• Julian Zhu, L.AC.

• Physical Therapist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.